JSFiddle - React, Tailwind, and code Playground
HTML
<table border="1">
<tr>
<td colspan="2">amount requested</td>
<td rowspan="2">info<br />text<br />here</td>
</tr>
<tr>
<td>first name</td>
<td>last name</td>
</tr>
<tr>
<td>zip code</td>
<td>city</td>
<td>state</td>
</tr>
<tr>
<td colspan="2">date of birth</td>
<td>social security no</td>
</tr>
</table>